Organization
NUTURING THE SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HARTNACK MS LAC (OWNER/CEO)
(732) 770-6029
Entity
Organization
Contact information
Practice address
39 WICK DR, FORDS, NJ 08863-1406
(732) 770-6029
Mailing address
39 WICK DR, FORDS, NJ 08863-1406
(732) 770-6029
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37AC00195200
NJ
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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